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Dr. Alka Jain

Gynaecologist, New Delhi

Dr. Alka Jain Gynaecologist, New Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Alka Jain
Dr. Alka Jain is one of the best Gynaecologists in Paschim Vihar, Delhi. You can consult Dr. Alka Jain at Dr Alka Jain's Clinic in Paschim Vihar, Delhi. You can book an instant appointment online with Dr. Alka Jain on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 25 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Recurrent Miscarriage

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Recurrent Miscarriage

Recurrent Miscarriage

It can be heartbreaking to miscarry one baby after another. Each new pregnancy brings both hope and anxiety. And each new loss may be harder to bear, especially if you feel that time is running out. The experience can place great strain on even the strongest relationships. You and your partner might react differently from each other and that can cause great tension. Family and friends may find it harder to support you with each miscarriage; they may even think you’re getting used to loss and able to cope. And all the time there may be a sense that your life is on hold while you try – and try again – for a baby.

What is recurrent miscarriage?

Recurrent miscarriage means having three or more miscarriages in a row. It affects about one in every hundred couples trying for a baby. Sometimes a treatable cause can be found, and sometimes not. But in either case, most couples are more likely to have a successful pregnancy next time than to miscarry again.

Testing after recurrent miscarriage:

If you have had three miscarriages in a row, you should be offered tests to try to find the cause. This should happen whether or not you already have one or more children. Testing is not usually offered after one or two early miscarriages (up to 14 weeks) because these are often due to chance. But you might be offered tests after two early miscarriages if you are in your late 30s or 40s or if it has taken you a long time to conceive. If you had a late (second trimester) miscarriage, where your baby diedafter 14 weeks of pregnancy, you should be offered tests after this loss.

Why recurrent miscarriage happens?

Your risk of recurrent miscarriage is higher if:

  • you and your partner are older; the risk is highest if you are over 35 and your partner over 40;

  • you are very overweight. Being very underweight may also increase your risk. Each new pregnancy loss increases the risk of a further miscarriage. But even after three miscarriages, most couples will have a live baby next time

Known causes

Antiphospholipid syndrome (APS) This blood clotting problem is the most important treatable cause of recurrent miscarriage. It happens when your immune system makes abnormal antibodies that attack fats called phospholipids in your blood. This makes the blood more ‘sticky’ and likely to clot, which is whyAPS is sometimes called ‘sticky blood syndrome’. It is also known as ‘Hughes syndrome’ after the expert who named it. It is not clear why these antibodies cause miscarriage. They may stop the pregnancy embedding properly in the uterus (womb);or they may interfere with blood flow to the placenta, which supports the baby.

APS can also lead to problems in later pregnancy, including the baby not growing enough, pre-eclampsia or stillbirth.

Other blood clotting problems Some inherited blood clotting disorders can cause recurrent miscarriage, particularly after 14 weeks. These include factorV Leiden, factor II (prothromobin), gene mutation and protein S deficiency.

Abnormal chromosomes The chromosomes in every cell of your body carry hereditary information in the form of genes.

Everyone has 23 pairs of chromosomes, and 22 of these are the same in men and women. The 23rd pair are different because they determine gender. Men normally have one X and oneY chromosome and women two X chromosomes. A baby inherits half its chromosomes from each parent. About half of all miscarriages happen because the baby’s chromosomes are abnormal. This is not usually an inherited problem: it happens when the egg and sperm meet or soon after the egg is fertilised. The older you are the more likely this is to happen. Much less commonly (in less than five in one hundred couples with recurrentmiscarriage), one partner carries a chromosomal defect called a ‘balanced translocation’. This doesn’t cause a problem for the parent, but it can be passed on to the baby as an ‘unbalanced translocation’.

This means that some genetic information is duplicated and some is missing.

Cervical weakness (also known as ‘incompetent cervix’) Some women – probably less than one in a hundred – have a weakness in the cervix that allows it to dilate too early.

This is a known cause of late (second trimester) miscarriage.

Possible causes

Abnormally-shaped uterus Some miscarriages, particularly late ones, are thought to happen because the uterus (womb) has an abnormal shape.

It may be divided down the centre – known as ‘bicornuate’ or ‘septate’ uterus;or just one half of the terus may have developed – known as ‘unicornuate’ uterus. It is not clear from research how many women with recurrent miscarriage have these abnormalities. Also we don’t know how common these problems are in women who don’t miscarry. This makes it impossible to be sure that they cause miscarriage

Polycystic ovary syndrome (PCOS) Women with this condition have many small cysts in their varies. They also tend to have hormonal problems, including high levels of insulin and male hormone in the blood. It is these problems that are thought to play a part in recurrent miscarriage, but it is not clear how.

Infection

Some serious infections can cause or increase the risk of single miscarriages. These include toxoplasmosis, rubella, listeria and genital infection. But it is not clear whether infection plays a role in recurrent miscarriage.

Immune problems Raised levels of uterine NK (uNK) cells may increase the risk ofrecurrent miscarriage, ut more research is needed to prove this. It’s important to know that these uNK cells are different from he NK cells found in general circulating blood (e.g. from your arm). Diabetes and thyroid problems Uncontrolled diabetes and untreated thyroid problems can cause miscarriage. But well-controlled diabetes and treated thyroid problems do not cause recurrent miscarriage.

3 people found this helpful

Sir/mam I found breast lump in one of my breast since 10 months back but there is no pain symptoms or size increase of lump only pain in time of menses my age is 22 piz tell me it will cause any breast cancer in future what precautions I should take. Tq.

MBBs, MD - Medicine, DM - Oncology
Oncologist, Cuttack
Breast lump with pain during Menses and it is present since last 10 months means it is more likely a fibroadenoma. But still you should consult your doctor for examination and investigation to rule out any malignancy.
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My gf is hiv positive and we had intercourse with condom which doesn't break we also check for pregnancy and hiv test after window period which comes non reactive shall we move on?

MBBS, DDV, FCPS, APEX, Diplomat American Board of Sexology
HIV Specialist, Mumbai
My gf is hiv positive and we had intercourse with condom which doesn't break we also check for pregnancy and hiv test...
You will need PrEP and your GF need ART Though HIV is negative now, you need to keep checking. Detailed work-up is required and can be done within few hrs.
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Hii. I've had sex with my girl. Does girl being a virgin bleeds while having sex?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Actually it depends. Now a days as girls are into more sports activities during school and college times, rupture of hymen during physical exercise is normal. So absence of bleeding in a virgin lady during first time sex is a common thing.
2 people found this helpful
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I am 20 years old female and its 53 days that I am not getting my period last period occuref after 50 days. I had safe sex last month and also after 1 month of my last period I did hcg urine test with help of test card 2 times & both the times it showed negative result. If it is negative then why my period is so late? what should I do now? please suggest me something. Even I always use to get late period but it never exceed like this. Please help me! thank you.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi ma, 1]go for usg if your not pregnant than, 2] take oopho. 12c 4 times day for 5 days 3] take sulph 1m single dose. 4] inform me progress after 7 days. 5] if possible give me detail case so I can better treat you. Take care thnks.
2 people found this helpful
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Hello sir, meri shaadi hue 5 saal ho gaye hai abe tak koi baccha nahi hua hai. Kya ab hum ko treatment karna chiye.

BHMS, Certified in Aesthetic Skin Treatments, Certified in Applied Behaviour Analysis
Homeopath, Mumbai
Hello sir, meri shaadi hue 5 saal ho gaye hai abe tak koi baccha nahi hua hai. Kya ab hum ko treatment karna chiye.
Yes. If you're younger than 35 and haven't become pregnant after one year of unprotected sex, it's time to consult a fertility doctor. If you're age 35 or older, it's best to see a specialist after about six months of trying to conceive. Even if you've never been diagnosed with a specific medical condition, certain symptoms or physical characteristics can indicate a problem that could affect your fertility. There are certain investigations need to be done after taking your detail medical history, after which your doctor would be able to give you the treatment plan.
6 people found this helpful
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Know More About Lifestyle Disorders

BAMS, Diploma in Skin Aesthetics, Cosmetology and Trichology, Diploma in skin aesthetics, Diploma in cosmetology, Diploma in Trichology, Diploma in Nutrition & Diet Planning, MDscholar
Trichologist, Mumbai
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How Lifestyle disorders can be handled with Ayurveda

3422 people found this helpful

I am 26 year old and married I am suffering from PCOD and had treatment for more than 1 year. It was suggested to do daily exercise, I did it. Last time I had menses on 11th Feb, inspite of doing daily exercise I am not able to get MC on time. It is a highly tensed situation for me. Please suggest me what to do in this situation.

B.A.M.S
Ayurveda, Banaskantha
I am 26 year old and married I am suffering from PCOD and had treatment for more than 1 year. It was suggested to do ...
As per ayurveda pcos and all other menstrual cycle related disorders are vata pradhana vyadhi (diseases) so in this state of condition when you go for higher exercise than it leads your vata vriddhi (increase level of vayu dosha vitiation) and increase your trouble. So avoid it.
1 person found this helpful
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I am 11 weeks pregnant and I have this severe itching problem on the feet during nights. Is it cholestasis? If yes den kindly lemme know the cure? N will it have effects on the baby?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I am 11 weeks pregnant and I have this severe itching problem on the feet during nights. Is it cholestasis? If yes de...
This is not cholestasis. This is because of dryness and unclean hygiene. Keep clean the feet always and apply some skin moisturizing creams.
5 people found this helpful
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Meri wife ka last period 5october ko aya tha. 2november ko kit se check kia to kit positive aai 9ko check kia to bhi positive aya. Lekin urine k sath mucus me blood a raha h 2 3 din se. Doctor ne kaha k ultrasound krvao. Is miscarriage doctor.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Meri wife ka last period 5october ko aya tha. 2november ko kit se check kia to kit positive aai 9ko check kia to bhi ...
Hello, If pregnancy is confirmed and there is bleeding then this could be threatened miscarriage, please meet your gynecologist soon and get a transvaginal scan done to check for foetal viability.
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Hallo Dr. mari shade hone wale ha next month or mari period se date or shade k date ek Hi hai jaldi period hone k liye k karu.

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Hallo Dr. mari shade hone wale ha next month or mari period se date or shade k date ek Hi hai jaldi period hone k liy...
Hi. Aapka last period lab that wo date batas. Aur shaadi ki date batao. Aur aapka period kitne din pe aata hai wo batao.
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Hi doc my daughter is not having her periods regularly since 1year what should I do. She is very shy doesn't want to visit doctor.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hi doc my daughter is not having her periods regularly since 1year what should I do. She is very shy doesn't want to ...
She needs to get a Pelvic USG done and a hormonal assay . Most likely cause of irregular periods at this age is Polycystic ovaries.
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My pregnancy test is negative. My had one miscarriage before. My period comes always regular but this time 30 days over now. I went for ultrasound but result is bulky uterus. What should I do? Please help me.

BHMS
Homeopath, Faridabad
My pregnancy test is negative. My had one miscarriage before. My period comes always regular but this time 30 days ov...
Hello, In a female with a normal menstrual cycle of 28days, the ovulation would take place on 14th day of the cycle. So, 3-4 days before and after this 14th day is supposed to be the period (mid-cycle) when the chances of getting pregnant are high! And rest of the days are safe when the chances of getting pregnant are less or remote. What is the normal menstrual cycle in your case? And is this happening for the first time? Is there history of the same in your past as well? Any associated symptoms or complaints? Any medical condition do you have? Have you been to a gynaecologist and got any investigations done (if yes, share the reports with me)? Answer all these questions for proper diagnosis and proper treatment. Any nutritional deficiency can also lead to delayed menses. As there are many causes of irregular menses apart from pregnancy like nutritional deficiency, PCOS, stress/ tension, excessive exertion, any other or recent medical condition, side effect of any medication, hormonal imbalance, etc. So, we need to rule out any causative factor. Meantime, suggesting you general tonics which will supply your body with calcium and iron - Five Phos. and Alfaalfa Tonic - take both the medicines thrice a day daily for 1 month.
1 person found this helpful
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My vagina is soo dark. Tell me some cream or tablet for whitening my vagina. Thank you.

B.H.M.S
Homeopath, Patna
My vagina is soo dark. Tell me some cream or tablet for whitening my vagina. Thank you.
Ceonothus q / berberis vul q/ chelidonium q take 5 drop of each in a glass of water at interval of 1 hour twice daily for one month 2. No use any cream superficially/ 3 wash with calendula q twice daily with water. Report in 3 days.
1 person found this helpful
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My due date for period was 15 September. But till now I didn't get my periods. When should I go for urine test.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
My due date for period was 15 September. But till now I didn't get my periods. When should I go for urine test.
You can do it right now. If your cycle is regular urine test will be positive on the day of missed period. It.
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I am 18 years old, I have polycystic ovarian syndrome. My periods is irregular, I am 79 kg, I dont have thyroid or any other relative problem. Ldl is slightly high 117, how can I get rid of this? what diet can I maintain to regular my periods?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Pcos can be cured in homoeopathy. Before start homoeopathic treatment we need depth case taking from your side and it will take time to cure.
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My both fallopian tubes has dilation due to infection and I am unable to get conceive so kindly advise me how can I conceive naturally.

Advanced Aesthetics
Ayurveda, Gulbarga
My  both fallopian tubes has  dilation due to infection and I am unable to get conceive so kindly advise me how can I...
Take treatment of fallopian tubes after try for conceiving any tubal block take treatment of laproscopic.
2 people found this helpful
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I am having hypothyroidism for the past 10 years. I got married on Aug 20 2015. We are trying to get conceive. But we are unsuccessful. Please guide us.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am having hypothyroidism for the past 10 years. I got married on Aug 20 2015. We are trying to get conceive. But we...
Is your thyroid controlled with medication, if not consult physician for that. Next get an ultrasound, fsh lh tsh amh tests done on day 2 of your cycle.
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Homoeopathy and It's benefits.

BHMS, MD - Homeopathy
Homeopath, Jhansi
Homoeopathy  and It's benefits.

What is homeopathy?
Homeopathy is a system of natural medicine developed by samuel hahnemann, a german physician in the early 1800s. He discovered that the same substance that could cause a reaction in a healthy person could also be a remedy for someone suffering from similar symptoms.

That is the basic premise of homeopathy: like cures like. it may seem hard to believe, yet the approach to vaccination used in western medicine is a similar one, albeit one that is fraught with potential side effects, unlike homeopathy which is completely safe.

Homeopathy is a natural, holistic, approach to healing a person, using minute doses of specific remedies, rather than simply eliminating a particular symptom using a band-aid approach. Unlike many health models, the model for homeopathy is one of individualization. No two people are alike, so just because two people suffer from headaches, the homeopathic remedies provided for them may be completely different.

There are many benefits of homeopathic medicine, including:

1. It can be used by pregnant and nursing women;

2. It can be used by children and infants;

3. It does not interfere with medications taken by a person;

4. If an incorrect remedy is selected, it is completely safe and will not harm the person at all;

5. Other than occasional, mild, and short-lived symptom aggravations which pass quickly and tend to be followed by improvements in the symptoms of a person, there are no side-effects of homeopathic remedies. This symptom aggravation is actually regarded by homeopaths as a sign that the correct homeopathic remedy has been selected and usually results in symptom improvements;

6. It can be used for chronic or acute conditions;

7. It is an individualized system of medicine which treats the person, not merely the symptoms. The symptoms, however, are addressed when using this approach and are typically improved;

8. Homeopathy is a holistic approach to healing: one that involves the body, mind, emotions, and spirit of the person being treated;

9. Homeopathic remedies are readily available and can, therefore, be used by anyone;

10. Homeopathic remedies are typically inexpensive and therefore provide an affordable approach to healing;

11. Homeopathic remedies can be stored for long periods of time;

12. Homeopathic medicine is non-invasive; and

13. There are many studies proving the effectiveness of homeopathy, when used correctly.

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